Tracking Code: 203390

Case Manager - RN - Weekend Option

Location: WellSpan Health, Gettysburg, PA
Schedule: Part Time
Wednesday, October 30, 2024
In Person
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Nursing & Allied Health Hiring Event

WellSpan Gettysburg Hospital

11:00 a.m. – 2:00 p.m.

Learn more about Nursing and Allied Health opportunities at WellSpan Gettysburg Hospital.

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OCT302024
In Person
Nursing & Allied Health Hiring Event

WellSpan Gettysburg Hospital

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Part-time: 8 hrs/week

General Summary

Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to support the provision of appropriate, cost effective and quality health care. Works in a team model with social worker teams and are assigned to patient care areas to address patient discharge needs. Provides leadership in the integration of utilization and case management principles.

Duties and Responsibilities

Essential Functions:

  • Performs initial reviews for medical necessity and appropriateness of setting for the assigned case load.
  • Conducts concurrent reviews to ensure medical necessity for continued hospitalization and initiates problem-solving techniques as needed to prevent over and/or under utilization.
  • Liaisons between third party payers and the treatment team regarding the identified treatment plan in accordance with contractual guidelines or System policy.
  • Assists the patient care team with the identification and coordination of alternative treatment settings which will provide appropriate care, maintain quality of care and reduce cost.
  • Identifies conditions which require case management across the continuum. Collaborates with the members of the patient care team to identify interdisciplinary needs.
  • Makes arrangements for discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families and care team as needed.
  • Assists with the collection and analysis of utilization patterns and denied cases.
  • Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).

Common Expectations:

  • Demonstrate knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment.
  • Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.
  • Prepares and maintains appropriate documentation as required.
  • Maintains established policies and procedures, objectives, quality assessment and safety standards.
  • Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
  • Prepares and presents utilization data analysis as required.
  • Develops and initiates educational programs regarding utilization management principles.
  • Attends meetings as required.

Required for All Jobs:

  • Performs other related duties as identified.
  • WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
  • WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:

  • Standing - Occasionally
  • Walking - Occasionally
  • Sitting - Frequently
  • Reaching - Rarely
  • Talking - Frequently
  • Hearing - Frequently
  • Repetitive Motions - Occasionally
  • Eye/Hand/Foot Coordination - Occasionally

Working Environment:

  • Occupational Hazards - Occasionally

Qualifications

Minimum Education:

  • Associates Degree Required
  • Bachelors Degree Preferred

Work Experience:

  • 2 years Recent acute care experience. Required
  • Field of experience in Utilization management, case management or clinical nursing specialty. Preferred

Licenses:

  • Licensed Registered Nurse Upon Hire Required or
  • Registered Nurse Multi State License Upon Hire Required and
  • Basic Life Support Upon Hire Required

Knowledge, Skills, and Abilities:

  • Excellent interpersonal/communication skills.
  • Basic computer skills.

You’re unique and you belong here.

At WellSpan Health, we are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at careers@wellspan.org. We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.

Lindsey Brought
Lindsey Brought
Sr. Talent Acquisition Consultant
Best of the Best Awards

Employment Benefits

  • Sign-on incentives for new employees
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts
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Welcome. Respect. Value.

Diversity, Equity & Inclusion at WellSpan

WellSpan Health recognizes and honors the diversity of our team members, patients and neighbors, and we embrace all the human characteristics that make us similar and unique. We strive to make every person feel welcomed, respected and valued by creating a safe and inclusive environment to which we all feel a sense of belonging. We are equally committed to ensuring all team members have the opportunity to excel and are positioned for success through equitable policies, practices and resources.

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability or any other legally protected characteristic. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

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Quality of Life

Established in 1800, Adams County includes the borough of Gettysburg, Pennsylvania. Home to more than 100,000 residents, the town is a mecca for Civil War history buffs and visitors who come to tour the Gettysburg National Battlefield and Gettysburg National Military Park and see the annual Civil War reenactment.

Also located here is Gettysburg College, which has a strong academic reputation in liberal arts. The county is steeped in heritage, and offers a peaceful, country atmosphere, yet is a convenient drive to Washington, D.C., Baltimore, MD and Harrisburg, PA. The area's diversity attracts a lively local music scene and is home to numerous restaurants and wineries, fresh-produce markets, a ski resort and more. Adams County residents can find local employment in health care, tourism, agriculture and manufacturing. (Patient population: 102,000)

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